可吸收螺钉治疗踝关节骨折的疗效分析  

Efficacy of absorbable screws in treatment of ankle fractures

作　　者：顾峥嵘[1] 王海鹏[1] 颜家骅[1] 刘云吉[1] 徐菁[1] 

机构地区：[1]复旦大学附属华山医院静安分院骨科,上海200040

出　　处：《生物医学工程与临床》2015年第2期153-155,159,共4页Biomedical Engineering and Clinical Medicine

摘　　要：目的比较可吸收螺钉和金属螺钉治疗踝关节骨折的疗效及其对踝关节功能的影响。方法选取踝关节骨折患者90例,其中男性48例,女性42例;年龄18~60岁,平均年龄32.45岁。随机分为观察组和对照组,每组各45例。观察组予以可吸收螺钉内固定治疗,对照组予以金属螺钉内固定治疗。观察两组术后的疗效、踝关节功能和并发症的发生率。结果观察组总有效率为95.56%,对照组总有效率为91.11%,两组差异无统计学意义（χ2=0.179,P〉0.05）。踝关节功能评分比较,观察组疼痛、活动范围和总分明显高于对照组（P〈0.01）;在踝关节稳定、行走能力、跑步能力和X射线测量评估方面,两组差异无统计学意义（P〉0.05）。观察组并发症发生率为6.67%,明显低于对照组26.67%（χ2=5.120,P〈0.05）。结论可吸收螺钉内固定治疗踝关节骨折疗效确切,具有组织相容性好,并发症低,避免二次手术,减轻患者的负担。Objective To compare the efficacy of absorbable screws and metal screws in the treatment of ankle fractures and the impact on ankle joint function. Methods A total of 90 patients with ankle fractures were enrolled, which included 48 males and42 females, aged 18- 60 years old with mean age of 32.45 years old. All of them were randomly divided into observation group（n =45） and control group（n = 45）. The observation group was treated with absorbable screw fixation and control group was given metal screw fixation. The efficacy, postoperative ankle joint function and incidence of complications in 2 groups were observed. Results The total effective rate in observation group was 95.56 % and that in control group was 91.11 %, the differences were no statistical significances（χ2= 0.179, P〈0.05）. The ankle function scores, the pain score, range of motion score and total score in observation group were all significantly higher than those in control group（P〈0.01）; The ankle stability, walking ability, running ability and Xray measurements were no statistically significant differences between 2 groups（P〈0.05）. The incidence of complication was 6.67 %in observation group which was significantly lower than 26.67 % in control group（χ2= 5.120, P〈0.05）. Conclusion It is demonstrated that efficacy of absorbable screws in the treatment of ankle fractures is proved with histocompatibility and low complication, which could avoid the secondary surgery and reduce the burden on patients.

关 键 词：可吸收螺钉 踝关节骨折 治疗疗效 内固定 

分 类 号：R687.3[医药卫生—骨科学]